John Broussard, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: August 27, 2010

Quick Facts

NPI Number
1174839161
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207QS0010X — Family Medicine
Phone
(727) 258-7224
StateFL

NPI Validation Status: Verified

Valid 10-digit NPI number (1174839161)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 27, 2010)
Data source: CMS NPPES

Provider Overview

JOHN BROUSSARD, DO is a Family Medicine provider based in St Petersburg, FL who has been registered with CMS since 2010. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174839161
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateAugust 27, 2010

Practice Location

CitySt Petersburg
StateFL
ZIP Code33701-3480
Phone(727) 258-7224

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QS0010X
License StateFL

Mailing Address

CitySt Petersburg
StateFL
ZIP Code33701-3480
Phone(727) 258-7224
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1174839161 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1174839161for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174839161 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
2,977
Family Medicine Providers in the US

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People Also Ask

What is John Broussard's NPI number?
John Broussard's NPI number is 1174839161, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is John Broussard's NPI currently active?
Yes, John Broussard's NPI status is Active as of the latest CMS NPPES database updates.
What does John Broussard specialize in?
John Broussard specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QS0010X.
Where does John Broussard practice?
John Broussard practices in St Petersburg, FL 33701-3480.
When was John Broussard's NPI issued?
John Broussard's NPI was issued on August 27, 2010.
What is John Broussard's provider type?
John Broussard is registered as an Individual Provider under CMS NPI Type 1.